The optimal duration for the wrinkle test in a clinical setting

Abstract To determine the time needed or the development of a positive result on the wrinkle test among patients with complete laceration of a digital nerve in a clinical setting. We prospectively recruited 20 patients who had undergone surgery for digital nerve laceration. The wrinkle test was cond...

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Main Authors: Erez Grinbaum, Ahmad Shahwan, Amir Eliyahu, Ravit Shay, Nimrod Rozen, Guy Rubin
Format: Article
Language:English
Published: Nature Portfolio 2022-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-13083-7
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author Erez Grinbaum
Ahmad Shahwan
Amir Eliyahu
Ravit Shay
Nimrod Rozen
Guy Rubin
author_facet Erez Grinbaum
Ahmad Shahwan
Amir Eliyahu
Ravit Shay
Nimrod Rozen
Guy Rubin
author_sort Erez Grinbaum
collection DOAJ
description Abstract To determine the time needed or the development of a positive result on the wrinkle test among patients with complete laceration of a digital nerve in a clinical setting. We prospectively recruited 20 patients who had undergone surgery for digital nerve laceration. The wrinkle test was conducted at a follow-up session up to 2 months after surgery, and the time to a positive wrinkling result was recorded. The wrinkle test was compared between the patient’s injured versus uninjured contralateral finger. The average time required for a positive result on the wrinkle test was 24.5 min (± 11), with 25% patients requiring 40 min to obtain a positive result. When evaluating a patient with digital nerve injury in a "non-laboratory" environment, the wrinkle test may require up to 40 min to obtain a positive result. Our study suggests that if tests are completed following the generally accepted time limit reported in the literature (30 min), up to 25% of tests may produce false negative results.
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spelling doaj.art-48cc96cdd6d9467f8e915d783be2af8f2022-12-22T03:24:00ZengNature PortfolioScientific Reports2045-23222022-05-011211410.1038/s41598-022-13083-7The optimal duration for the wrinkle test in a clinical settingErez Grinbaum0Ahmad Shahwan1Amir Eliyahu2Ravit Shay3Nimrod Rozen4Guy Rubin5Orthopedic Department, Emek Medical CenterOrthopedic Department, Emek Medical CenterOrthopedic Department, Emek Medical CenterOrthopedic Department, Emek Medical CenterOrthopedic Department, Emek Medical CenterOrthopedic Department, Emek Medical CenterAbstract To determine the time needed or the development of a positive result on the wrinkle test among patients with complete laceration of a digital nerve in a clinical setting. We prospectively recruited 20 patients who had undergone surgery for digital nerve laceration. The wrinkle test was conducted at a follow-up session up to 2 months after surgery, and the time to a positive wrinkling result was recorded. The wrinkle test was compared between the patient’s injured versus uninjured contralateral finger. The average time required for a positive result on the wrinkle test was 24.5 min (± 11), with 25% patients requiring 40 min to obtain a positive result. When evaluating a patient with digital nerve injury in a "non-laboratory" environment, the wrinkle test may require up to 40 min to obtain a positive result. Our study suggests that if tests are completed following the generally accepted time limit reported in the literature (30 min), up to 25% of tests may produce false negative results.https://doi.org/10.1038/s41598-022-13083-7
spellingShingle Erez Grinbaum
Ahmad Shahwan
Amir Eliyahu
Ravit Shay
Nimrod Rozen
Guy Rubin
The optimal duration for the wrinkle test in a clinical setting
Scientific Reports
title The optimal duration for the wrinkle test in a clinical setting
title_full The optimal duration for the wrinkle test in a clinical setting
title_fullStr The optimal duration for the wrinkle test in a clinical setting
title_full_unstemmed The optimal duration for the wrinkle test in a clinical setting
title_short The optimal duration for the wrinkle test in a clinical setting
title_sort optimal duration for the wrinkle test in a clinical setting
url https://doi.org/10.1038/s41598-022-13083-7
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